Jessica Russo
Speech-Language Pathologist, in Glen Rock, New Jersey
1134998107- Practice location
- 208 Harristown RD, Glen Rock, NJ 07452-3308
- Phone
- 201-297-9167
- Fax
- —
- Last updated
- January 1, 2024
Jessica Russo is a Speech-Language Pathologist, based in Glen Rock, NJ. Jessica Russo practices in Glen Rock, NJ. The NPI Number for Jessica Russo is 1134998107 and holds a License No. 41YS01240200 (NJ). The current practice location address for Jessica Russo is 208 Harristown RD, Glen Rock, NJ 07452-3308 and can be reached out via phone at 201-297-9167.
Provider Profile Details
- NPI Number
- 1134998107
- Provider Name
- Jessica Russo
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 208 Harristown RD, Glen Rock, NJ 07452-3308
- Phone Number
- 201-297-9167
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 1, 2024
- Last Update Date
- January 1, 2024
- Certification Date
- December 31, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 208 Harristown RD
Glen Rock, NJ 07452-3308 - City
- Glen Rock
- State
- New Jersey
- Zip
- 07452-3308
- Phone Number
- 201-297-9167
Provider Business Mailing Address Details
- Address
- 67 Stanley Ave
Nutley, NJ 07110-1421 - City
- Nutley
- State
- NJ
- Zip
- 07110-1421
- Phone Number
- 201-937-8879
License Information
- License Number
- 41YS01240200
- License State
- NJ
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Glen Rock, NJ
View all Speech-Language Pathologist, providers in Glen Rock →- Brittany L FoleySpeech-Language Pathologist, · NPI 1588151815
- Deborah I Roberts, MA CCC-SLPSpeech-Language Pathologist, · NPI 1841453834
- Gail Suchanski, SLP-CCCSpeech-Language Pathologist, · NPI 1366221996
- Julia Kogan, SLPSpeech-Language Pathologist, · NPI 1164835690
- Marianna Stas, MS, CF-SLPSpeech-Language Pathologist, · NPI 1952119752
- Marie-Ange Malyarovich, MA CCC-SLPSpeech-Language Pathologist, · NPI 1871985515
Frequently Asked Questions
What is the NPI number of Jessica Russo?
The NPI number of Jessica Russo is 1134998107. It was assigned on January 1, 2024 and is currently active in the NPPES registry.
What is the specialty of Jessica Russo?
Jessica Russo is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01240200.
Where does Jessica Russo practice?
The practice location is 208 Harristown RD, Glen Rock, NJ 07452-3308. The office can be reached at 201-297-9167 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134998107 directly on the NPPES registry website.